Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bolivar Physician Practices LLC

Organization Rural Health Clinic/Center · NPI 1205489689

Bolivar Physician Practices LLC is a Rural Health Clinic/Center in Rosedale, Mississippi. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

512 Levee St
Rosedale, MS 38769-5507
Phone: (662) 759-6806
Fax: (662) 759-6771
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X

Record details

NPI number1205489689
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charlotte Lawrence — Secretary · (615) 920-7000
Other names Rosedale Family Medical
NPI enumeratedJuly 24, 2019
Last updated in NPPESJune 4, 2026
Certification dateJune 4, 2026
Mailing address330 Seven Springs Way, Brentwood, TN 37027-5098